Provider Demographics
NPI:1437723285
Name:DESERT INSIGHT FAMILY THERAPY, PROF. CORP.
Entity Type:Organization
Organization Name:DESERT INSIGHT FAMILY THERAPY, PROF. CORP.
Other - Org Name:DESERT INSIGHT
Other - Org Type:Doing Business As
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MRS
Authorized Official - First Name:CAROLINA
Authorized Official - Middle Name:
Authorized Official - Last Name:ESTRADA
Authorized Official - Suffix:
Authorized Official - Credentials:LMFT
Authorized Official - Phone:442-307-3395
Mailing Address - Street 1:35325 DATE PALM DR STE 151C
Mailing Address - Street 2:
Mailing Address - City:CATHEDRAL CITY
Mailing Address - State:CA
Mailing Address - Zip Code:92234-7002
Mailing Address - Country:US
Mailing Address - Phone:442-307-3395
Mailing Address - Fax:
Practice Address - Street 1:35325 DATE PALM DR STE 151C
Practice Address - Street 2:
Practice Address - City:CATHEDRAL CITY
Practice Address - State:CA
Practice Address - Zip Code:92234-7002
Practice Address - Country:US
Practice Address - Phone:442-307-3395
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-05-17
Last Update Date:2023-04-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family TherapistGroup - Multi-Specialty
No1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinicalGroup - Multi-Specialty